CLINICAL TRIAL

On the Move group exercise for Mobility Limitation

Waitlist Available · 18+ · All Sexes · Pittsburgh, PA

This study is evaluating whether a program can improve mobility in older adults.

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About the trial for Mobility Limitation

Treatment Groups

This trial involves 2 different treatments. On The Move Group Exercise is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
On the Move group exercise
BEHAVIORAL
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.

Eligibility

This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
can ambulate household distances independently
People aged 60 years or older are more likely to experience a fall. show original
Come to the senior center. show original
You can participate in group exercise classes. show original
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: 24 weeks
Screening: ~3 weeks
Treatment: Varies
Reporting: 24 weeks
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: 24 weeks.
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether On the Move group exercise will improve 1 primary outcome, 2 secondary outcomes, and 6 other outcomes in patients with Mobility Limitation. Measurement will happen over the course of Throughout the 12 week intervention..

Adaptations
THROUGHOUT THE 12 WEEK INTERVENTION.
Adaptations will be recorded, defined and classified using the Framework for Reporting Adaptations and Modifications-Expanded (FRAME).
THROUGHOUT THE 12 WEEK INTERVENTION.
Adherence - Dose of exposure, participant level.
THROUGHOUT THE 12 WEEK INTERVENTION
Dose of exposure at the participant level will be quantified as the number of classes each participant attends, 0-24. The instructor will keep a class log of each session to record attendance. A greater number of classes is better.
THROUGHOUT THE 12 WEEK INTERVENTION
Adherence - Dose of exposure classes offered
THROUGHOUT THE 12 WEEK INTERVENTION
Dose of exposure classes offered will be quantified as number of classes offered by the community center (0-24). Each community center is required to document when exercise classes are offered. The investigators will obtain this information directly from the community center records. A greater number of classes is better.
THROUGHOUT THE 12 WEEK INTERVENTION
Competence - Quality of delivery
THROUGHOUT THE 12 WEEK INTERVENTION
The content experts will use a standardized checklist to document if the instructor is delivering the program with adequate skill. The checklist includes 20 items such as appropriately demonstrating exercises, modifying the exercises as needed, and progressing exercises appropriately. Competence will be quantified by the total number of items present on the checklist; scores will range from 0-20.
THROUGHOUT THE 12 WEEK INTERVENTION
Adherence - Dose of exposure, weeks of exercise
THROUGHOUT THE 12 WEEK INTERVENTION
Dose of exposure, weeks of exercise will be quantified as the number of weeks the exercise classes are offered (0-12). Each community center is required to document when exercise classes are offered. The investigators will obtain this information directly from the community center records. A greater number of weeks is better.
THROUGHOUT THE 12 WEEK INTERVENTION
Patient-Reported Outcomes Measurement Information System (PROMIS) mobility
24 WEEKS
The Patient-Reported Outcomes Measurement Information System - mobility measure is 15 item scale to assess self-reported perceptions of mobility. A single mobility score is obtained from the short form, with higher scores indicating better mobility.
24 WEEKS
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Who is running the study

Principal Investigator
J. S. B.
Prof. Jennifer S. Brach, Professor and Associate Dean for Faculty Affairs and Development
University of Pittsburgh

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are the signs of mobility limitation?

Data from a recent study showed that the signs of mobility limitation are present in a large subset of community-dwelling older adults, suggesting that such signs can be as disabling as physical limitations.

Anonymous Patient Answer

Who should consider clinical trials for mobility limitation?

Despite the absence of unequivocal evidence that this group is at an increased risk of mortality and morbidity, such trials may be considered in patients with mobility limitation with a high degree of clinical suspicion.

Anonymous Patient Answer

Is on the move group exercise safe for people?

OMM group exercises have no greater risk of adverse events than routine physical activity in people aged 50+ years with disabling mobility limitations. Moreover, it improves quality of life.

Anonymous Patient Answer

What is the latest research for mobility limitation?

Overall, the research on mobility limitation is very limited. There are limitations to do a long-term prospective longitudinal, randomized controlled trial with an effective outcome scale in mobility limitation. The development of an objective definition of mobility limitation is important to enable the validation of new research outcomes and the comparison of various interventions.

Anonymous Patient Answer

What causes mobility limitation?

The relationship of mobility limitation to other health factors of individuals with musculoskeletal symptoms may be an indication for a more thorough assessment of the musculoskeletal complaints.

Anonymous Patient Answer

What are common treatments for mobility limitation?

Physical therapists can provide [mobility limitation rehabilitation services to enhance mobility in people with disabilities, such as those with [mobility limitation, especially those at risk of falls from unsteadiness, gait incoordination, or falls from mobility assistance devices]. Physicians must be well informed of the benefits and limitations of the various therapies available that can be used in rehabilitation to address mobility limitation. The American Academy of Physical Medicine and Rehabilitation (AAPMR) physical medicine and rehabilitation specialists are trained to provide appropriate interventions based on patient age, size, and capabilities that can help maximize functional independence and promote safety.

Anonymous Patient Answer

What is mobility limitation?

Individuals with mobility limitation who live independently are more likely to report pain and/or limitations in physical functioning than those without mobility limitation. Individuals who do not live independently are more likely to report problems in psychosocial functioning.

Anonymous Patient Answer

Can mobility limitation be cured?

Though mobility limitation is a symptom of osteoarthritis that is likely to remain a problem even after it has healed, a subset of patients with knee osteoarthritis can have substantial mobility restriction remaining even after the progression of the disease has stopped or significantly slowed.

Anonymous Patient Answer

How many people get mobility limitation a year in the United States?

An estimate of 1.2 million Americans would be severely mobility-limited or mobility-limited in the aged 65 years or older. However, mobility limitation cannot be excluded in 0.5 million people each year in that age group. These data are important because mobility limitation in the elderly is highly predictive of long-term morbidity.

Anonymous Patient Answer

What are the latest developments in on the move group exercise for therapeutic use?

This research provides information that therapists can use in their practice in order to develop exercise programs for patients with chronic conditions. Therapists need to be aware of these latest developments so that they can provide interventions that are most responsive to their patient's needs. The exercise program can be tailored in accordance with the client's functional capacity, goals for therapy, and the person's current level of functioning.

Anonymous Patient Answer

Has on the move group exercise proven to be more effective than a placebo?

The present study does not provide support for the use of on the move group exercise to boost mobility among older adults compared to a placebo intervention. Future studies should address the need to identify other ways to maximise mobility.

Anonymous Patient Answer

What is the average age someone gets mobility limitation?

This paper explores a potential cutoff point of age-related mobility limitation. There remains no standard reporting system across countries that could provide sufficient detail for making this decision for individual patients. However, it is possible to estimate a median patient age at which mobility limitation would be a common feature of clinical practice, which provides a basis for establishing a benchmark for a cutoff point (e.g. ≤ 65 years). A cut-off point of age-related mobility limitation should be an integral part of the patient assessment and clinical management plan.

Anonymous Patient Answer
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